Carissa K Gallardo, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

46715 Issued in CA

Practice address

2014 1/2 Plant Ave
Redondo Beach, CA 90278-1913

Phone

(310) 977-8997

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carissa K Robinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1366616161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 1/2 PLANT AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781913",
            "telephone_number": "310-977-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 1/2 PLANT AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781913",
            "telephone_number": "310-977-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "CARISSA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "ROBINSON",
            "middle_name": "K",
            "credential": "MFT INTERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• G Smith MD Medical Group Inc.
• Lulit Gabre, IBCLC
• Gabriel Lanum Licensed Marriage & Family Therapy Inc
• Gail Levee, M.D.
• Donald Marlow Galbraith, DC
• Annalie Lupita Gallegos
• Kassandra Gallegos
• Cecily Julia Gallup, M.D.
• Andrea Pinnick Gamble, D.D.S.
• Dezurline Garcia, RN

• Marriage & Family Therapist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.